How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,202 to $2,630Professionalmedian $2,042 · 10th to 90th $891 to $2,512
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,000.00 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,000.00 Typical High $1,778.28 | Professional | None (both parts) | $912.01 | $1,000.00 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $131.83 Typical High $213.80 | Professional | 26 · Professional part | $117.49 | $131.83 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $870.96 Typical High $1,584.89 | Professional | TC · Technical part | $794.33 | $870.96 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,137.96 Typical High $2,511.89 | Professional | None (both parts) | $1,995.26 | $2,137.96 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $288.40 Typical High $316.23 | Professional | 26 · Professional part | $245.47 | $288.40 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,862.09 Typical High $2,238.72 | Professional | TC · Technical part | $1,698.24 | $1,862.09 | $2,238.72 |
Hally Health Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $4,365.16 | Professional | None | $831.76 | $1,122.02 | $4,365.16 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $151.36 Typical High $616.60 | Professional | 26 · Professional part | $112.20 | $151.36 | $616.60 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,023.29 Typical High $3,715.35 | Professional | TC · Technical part | $724.44 | $1,023.29 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,089.30 Typical High $2,691.53 | Facility | None | $1,202.26 | $2,089.30 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $2,089.30 Typical High $6,025.60 | Professional | None (both parts) | $1,258.93 | $2,089.30 | $6,025.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $331.13 Typical High $776.25 | Professional | 26 · Professional part | $162.18 | $331.13 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,905.46 Typical High $5,248.07 | Professional | TC · Technical part | $1,047.13 | $1,905.46 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,570.40 | Professional | None | $2,137.96 | $2,137.96 | $2,570.40 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $331.13 | Professional | 26 · Professional part | $288.40 | $288.40 | $331.13 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $1,862.09 Typical High $2,238.72 | Professional | TC · Technical part | $1,862.09 | $1,862.09 | $2,238.72 |
Midlands Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,949.84 Typical High $3,630.78 | Professional | None (both parts) | $1,905.46 | $1,949.84 | $3,630.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $1,023.29 Typical High $2,041.74 | Professional | None (both parts) | $134.90 | $1,023.29 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $2,691.53 | Facility | None | $1,288.25 | $2,137.96 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,659.59 Typical High $2,344.23 | Professional | None (both parts) | $954.99 | $1,659.59 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $229.09 Typical High $346.74 | Professional | 26 · Professional part | $144.54 | $229.09 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,412.54 Typical High $1,995.26 | Professional | TC · Technical part | $812.83 | $1,412.54 | $1,995.26 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,398.83 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,398.83 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $281.84 | Professional | 26 · Professional part | $239.88 | $239.88 | $281.84 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $1,778.28 Median $1,778.28 Typical High $2,089.30 | Professional | TC · Technical part | $1,778.28 | $1,778.28 | $2,089.30 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $501.19 Typical High $549.54 | Professional | 52 · Reduced service | $446.68 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $204.17 Typical High $218.78 | Professional | 53 · Discontinued | $177.83 | $204.17 | $218.78 |
Where Iowa sits
The same service costs 2.9 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Iowa· 3rd of 51
$2,042
AK $2,138TX $741
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.